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عضویت

جستجوی مقالات مرتبط با کلیدواژه « mental retardation » در نشریات گروه « پزشکی »

  • Akmaral Izbasarova, Aisulu Zholdybayeva, Galiya Kadrzhanova, Khadisha Kashikova*, Asel Izbasarova, Natalya Petrova, Alima Tolybekova

    This paper presents a unique 12-year case analysis of a girl with Penta-X syndrome, a chromosomal abnormality characterized by five X chromosomes instead of the normal two in healthy women. Pentasomy of X is a genetic, but not a hereditary disease affecting only women. Our patient demonstrated delayed mental, speech, and motor development along with physical anomalies such as craniofacial deformities, and eye pathology and was diagnosed with pentasomy of the X chromosome at the age of 3 after a cytogenetic examination. She developed epileptic seizures at the age of nine. Magnetic resonance imaging(MRI) revealed leukoencephalopathy with ventriculomegaly. The peculiarity of this observation is that the polysomy 49, XXXXX detected in the patient is characterized by a typical phenotypic presentation combined with demyelinating leukoencephalopathy, which has not been a typical feature of the disorder.

    Keywords: Pentasomy X, Chromosome Aberrations, Aneuploidy, Mental Retardation, Leukoencephalopathy}
  • فاطمه نصرالهی داودلی*، هومن مینونژاد، کریم خلاقی، محمد کریمی زاده اردکانی
    هدف
    عقب ماندگی ذهنی یکی از رایج ترین معلولیت های ذهنی است که با اختلال در حفظ تعادل و ضعف در عملکرد حرکتی مبتلایان همراه می باشد. هدف ازاین تحقیق مقایسه تمرینات برایتونیک و یوگا بر سطح تعادل و عملکرد حرکتی دختران کم توان ذهنی آموزش پذیر بود.
    روش بررسی
    در این مطالعه ی نیمه تجربی، جامعه آماری شامل تمامی دختران کم توان ذهنی آموزش پذیر 12-7 ساله شهرستان مشهد بود که تعداد 45 نفر با میانگین ± انحراف معیار سن به سال (2/59± 11/34)، قد به سانتیمتر (6/91± 149) و وزن به کیلوگرم  (6/13±39/52) در قالب سه گروه 15 نفره کنترل، برایتونیک و یوگا قرار گرفتند. گروه های تجربی تمرینات را به مدت شش هفته(سه جلسه 45 دقیقه ای در هفته) انجام دادند. در پیش آزمون و پس آزمون از آزمون لک لک، Y و آزمون برخاستن و رفتن به ترتیب برای تعادل ایستا، پویا و عملکرد حرکتی سه گروه استفاده شد. از آزمون t زوجی با آزمون تعقیبی بونفرونی و آزمون کوواریانس با سطح معناداری (0/05≥α) برای بررسی تفاوت بین گروه ها استفاده شد.
    یافته ها
    نتایج درون گروهی نشان داد که تمرینات برایتونیک و یوگا باعث بهبود تعادل ایستا، تعادل پویا و عملکرد حرکتی کودکان می شوند (0/001=P). همچنین نتایج بین گروهی نشان داد که تعادل ایستا، تعادل پویا و عملکرد حرکتی به طور معنا داری در گروه تمرینات یوگا و برایتونیگ نسبت به گروه کنترل بهتر بود (0/001=P). اما هیچ تفاوت معناداری بین اثربخشی تمرینات یوگا و برایتونیک در بهبود تعادل ایستا و پویا و عملکرد حرکتی وجود نداشت (0/05<p)).
    نتیجه گیری
    با توجه به تمرینات برایتونیک و یوگا  بر هر دو فاکتور تعادل و عملکرد حرکتی، پیشنهاد می شود از تمرینات برایتونیک و یوگا در برنامه های توانبخشی دانش آموزان کم توان ذهنی استفاده گردد.
    کلید واژگان: کم توان ذهنی, تعادل, برایتونیک, یوگا}
    F Nasroolahi *, H Minoonejad, K Khalaghi, M Karimizadeh Ardakani‎
    Purpose
    Mental retardation is one of the most common mental disorders associated with impaired balance and impaired motor function. The aim of this study was to compare Braille tonic and yoga exercises on the level of balance and motor performance of educable mentally retarded girls.
    Methods
    The population of this study was all of the mentally retarded girls of Mashhad City, and sample consisted of 45 educable mentally retarded girls, with mean age (11.34 ± 2.95 years), height (149± 6.91 cm) and weight (39.52± 6.13 kg), who were healthy physically and voluntarily participated in this research. The subjects were randomly divided into three equal experimental and control groups (n=12). The experimental groups had six weeks of Braille tonic and Yoga training with three sessions per week and each session lasted for 45-minutes. During this period, the control group did not perform any specific types of exercise. In the pre-test with Bonferroni post hoc test and post-test, the stork, Y test, and the stand-up and test were used for static, dynamic, and motor balance analyses, respectively. Data were analyzed through descriptive and analysis of covariance at the 0.05 level.
    Results
    The results within the group showed that Brytonic and yoga exercises improve children's static balance, dynamic balance and movement performance (P=0.001). Also, the inter-group results showed that static balance, dynamic balance and movement performance were significantly better in the yoga and Brytonic exercise group than the control group (P=0.001). However,  there was no significant difference between the effectiveness of yoga and Brytonic exercises in improving static and dynamic balance and movement performance (p>0.05) and motor function. It is recommended to use Braille tonic and yoga exercises in rehabilitation programs for mentally retarded students.
    Conclusion
    Considering Brytonic and yoga exercises both balance and movement performance factors, it is suggested to use Brytonic and yoga exercises in the rehabilitation programs of intellectually disabled students.
    Keywords: Mental Retardation, Balance, Braille tonic, Yoga}
  • طاهره راحت دهمرده، محمود شیرازی*، علی عرب
    مقدمه

    عقب ماندگی ذهنی اختلالی ست که از کودکی نمایان می شودو با عملکرد عقلانی زیر متوسط (هوشبهر 70 یا کمتر) مشخص می شود. هدف از این پژوهش اثربخشیرفتار درمانی دیالکتیکی بر تحمل پریشانی وتاب آوری مادران دارای فرزندان کم توان ذهنی شهر زاهدان بود..

    روش کار

    روش پژوهش، نیمه آزمایشی و از نوع طرح پیش آزمون پس آزمون با گروه کنترل می باشد. جامعه آماری این پژوهش شامل مادران دانش آموزان کم توان ذهنی شهر زاهدان در سال 1399 بود.

    یافته ها

    یافته ها نشان داد که نمره کلی تحمل پریشانی و تاب آوری در گروه آزمایش در مرحله پس آزمون در قیاس با گروه کنترل افزایش یافته است. در کل نتایج نشان داد که تفاوت میانگین های نمرات ابعاد تاب آوری و نمرات ابعاد تحمل پریشانی در گروه درمانی آموزش رفتار درمانی دیالکتیکی و کنترل در مرحله پس آزمون تفاوت معناداری وجود دارد

    بحث و نتیجه گیری

    . درمجموع نتایج پژوهش حاضر بیان کننده این بود که رفتاردرمانی دیالکتیکی بر تحمل پریشانی و تاب آوری ماداران دارای کودکان کم توان ذهنی موثر بوده است.بنابراین با توجه به یافته های به دست آمده می توان این درمان را به عنوان یک روش کارا جهت افزایش تحمل پریشانی و تاب آوری در مادران دارای کودکان کم توان ذهنی پیشنهاد داد.

    کلید واژگان: رفتار درمانی دیالکتیکی, تحمل پریشانی, تاب آوری, مادران, کم توان ذهنی}
    Taherh Rahatdahmarde, Mahmoud Shirazi *, Ali Arab
    Introduction

    Mental retardation is a disorder that manifests itself from childhood and is characterized by below average intellectual function (IQ 70 or less). The aim of this study was the effectiveness of dialectical behavioral therapy on tolerance Anxiety and resentment of mothers with mentally retarded children in Zahedan.

    Methods

    The research method is quasi-experimental and is a pre-test post-test design with a control group. The statistical population of this study included the mothers of mentally retarded students in Zahedan in 1399. Thus, among the mothers of students in exceptional schools in districts 1 and 2 of Zahedan, 30 people were selected according to the inclusion criteria and randomly assigned to two experimental groups (15) and a control group (15). The experimental group in 8 sessions of 90 minutes. In 2 months, they were trained in dialectical behavior therapye.

    Results

    The results showed that the overall score of distress tolerance and resilience in the experimental group in the post-test phase increased compared to the control group. Overall, the results showed that there was a significant difference between the mean scores of resilience dimensions and distress tolerance dimension scores in the dialectical behavior therapy training and control group in the post-test

    Discussion

    . Therefore, according to the findings, this treatment can be used as an effective method to increase anxiety tolerance and Resilience has been suggested in mothers with mentally retarded children. .

    Keywords: Dialectical Behavior Therapy, Distress tolerance, Resilience, mothers, Mental Retardation}
  • Saba Arshi, Mohammad Nabavi, MohammadHasan Bemanian, Morteza Fallahpour, Samaneh Delavari, Nima Rezaei, Sima Shokri

    Autosomal-recessive immunodeficiency, centromeric instability, and facial anomalies (ICF) syndrome is mainly determined by recurrent tract respiratory and gastrointestinal infections in early childhood due to agammaglobulinemia. Most patients with ICF syndrome die of infection at a young age, usually in the first or second decade of life. The leading cause of ICF disorders is mutations in genes whose products play a role in DNA methylation. ICF syndrome is classified into two groups: type 1 (ICF1) patients have mutations in the DNMT3B gene, and about half of type 2 (ICF2) patients have mutations in the ZBTB24 gene. In this study, we report the case of a 34-year-old female of Iranian consanguineous parents, who was diagnosed at one year of age with ICF-2 syndrome with recurrent infections, mental retardation, and a homozygous novel mutation in the ZBTB24 gene.

    Keywords: Chromosomal Instability, Immunodeficiency-Centromeric Instability-Facial Anomalies Syn-drome, Mental Retardation}
  • صفورا کیوانلو، بهزاد ماله میر*، مونا صدری، زهره رفیعی راد، محمد نریمانی، زهرا زواره ای
    مقدمه

    با توجه به تاثیر ژرف کودکان کم توان ذهنی بر حیات اعضای خانواده به خصوص مادران و  وجود پژوهش های کم در این حیطه، هدف این مطالعه مقایسه آشفتگی روانشناختی، جهت گیری زندگی، دشواری تنظیم هیجان و طرح واره های هیجانی، در مادران کودکان کم توان ذهنی و عادی شهر سبزوارمی باشد.

    روش کار

    روش پژوهش حاضر علی- مقایسه ای و جامعه آماری شامل همه مادران کودکان عادی و کم توان ذهنی که در فاصله دو ماه دی و بهمن 1400 به مراکز توانبخشی، کلینیک ها سطح شهر سبزوار مراجعه کردند، می باشد. حجم نمونه شامل 50 مادر کودک کم توان ذهنی و 50 مادر  کودک سالم که به روش نمونه گیری تصادفی خوشه ای چند مرحله ای انتخاب شدند. ابزار‎های پژوهش شامل مقیاس افسردگی، اضطراب و استرس لاویبوند (1997)، پرسشنامه جهت گیری زندگی مبسوط چانگ (1997)، دشواری‎های تنظیم هیجان درز (2004) و طرحواره های هیجانی لیهی (2002) است. داده های حاصل از پژوهش به شیوه تحلیل واریانس چندمتغیری توسط نرم افزار آماری spss 24 مورد تجزیه و تحلیل قرارگرفت.

    نتایج

    نتایج نشان داد که بین طرحواره های هیجانی سازگار (p<0/003) و ناسازگار (p<0/001)، دشواری تنظیم هیجان (p<0/003)، جهت گیری زندگی (p<0/003)و آشفتگی روانشناختی (p<0/003) در بین مادران کودکان کم توان ذهنی و عادی تفاوت معنادار وجود دارد.

    نتیجه گیری:

     بر اساس یافته های پژوهش می‎توان گفت  که مادران کودکان کم توان ذهنی بخاطر آسیب‎پذیری روانشناختی، هیجانی و اجتماعی دارای طرحواره های هیجانی سازگار و جهت گیری زندگی پایین و طرحواره های هیجانی ناسازگار، دشواری تنظیم هیجان و آشفتگی روانشناختی بیشتری هستند که نیاز است با بکارگیری درمان های روانشناختی مناسب، نسبت به رفع این مشکلات اقدام نمود.

    کلید واژگان: آشفتگی روانشناختی, جهت گیری زندگی, دشواری تنظیم هیجان, طرحواره های هیجانی, کم توانی ذهنی}
    Safoura Keyvanlo, Bahzad Malehmir*, Mona Sadri, Zohreh Rafiee Rad, Mohammad Narimani, Zahra Zavarei
    Introduction

    Due to the profound impact of mentally retarded children on the lives of family members, especially mothers, and the lack of research in this area, the aim of this study was to compare psychological disturbance, life orientation, difficulty in regulating emotion and emotional schemas in mothers of mentally retarded children and Sabzevar is a normal city.

    Methods

    The method of this causal-comparative study and the statistical population includes all mothers of normal and mentally retarded children who referred to rehabilitation centers and clinics in Sabzevar between January and February 2017. The sample size included 50 mothers of mentally retarded children and 50 mothers of healthy children who were selected by multi-stage cluster random sampling. Research tools include the Loybond (1997) Depression, Anxiety, and Stress Scale, Chang (1997) Extensive Life Orientation Questionnaire, Leak Emotion Difficulty Regulation (2004), and Leahy (2002) Emotional Schemas. The data were analyzed by multivariate analysis of variance using SPSS 24 statistical software.

    Results

    The results showed that between consistent emotional schemas (p <0.003) and maladaptive (p <0.001), emotion regulation difficulty (p <0.003), life orientation (p <0.003) and Psychological disorder (p <0.003) There is a significant difference between mothers of mentally retarded and normal children.

    Conclusion

    Based on the findings of the study, it can be said that mothers of mentally retarded children due to psychological, emotional and social vulnerability have compatible emotional schemas and low life orientation and maladaptive emotional schemas, difficulty in regulating emotion and more psychological turmoil that needs to be applied. Appropriate psychological therapies addressed these problems.

    Keywords: Psychological disorder, life orientation, difficulty regulating emotion, emotional schemas, mental retardation}
  • Bahare Soleymani Tappesari *, Tayebeh Baniasadi, Zahra Chaharbaghi, Fatemeh Adib Chamachaei
    Background
    The aim of this study was to investigate the effects of instructional and motivational self-talk on learning a dart throwing skill in children with mild mental retardation.
    Method
    The subjects included 45 children with mild mental retardation who were equally divided into three groups of instructional self-talk, motivational self-talk, and control. The motor task included darts throwing skill in which children’s darts throwing scores as well as self-efficacy were measured as dependent variables. The Participants performed pre-test (including 15 throws), acquisition phase (including five 5-minute practice blocks), and retention test (including 15 throws). The participants in the instructional self-talk group were asked to repeat the “Center-Target” phase before each attempt during the training phase and then throw the dart. Those in the motivational self-talk group were asked to use a motivational phrase “I Can" before the throw. The children in the control group followed a similar protocol but were not given any self-talk instructions.
    Results
    The results showed that mentally retarded children who practiced instructional self-talk had better performance than those who used motivational self-talk and the control group in throwing darts in the retention test (P=0.000). Moreover, the motivational self-talk group performed better than the control group in dart throwing in the retention test (P=0.000). Finally, the results showed that children in the instructional and motivational self-talk groups reported higher self-efficacy scores than those in the control group in the retention test (P=0.000), while no significant difference was observed between the instructional and motivational self-talk groups. (P=0.527)
    Conclusion
    The results of this study show that children with mild mental retardation are able to learn motor skills through self-talk.
    Keywords: Instructional self-talk, Motivational Self-Talk, Mental Retardation, Self-efficacy}
  • Amir Dana *, Jalil Moradi, Mir Hamid Salehian, Parastoo Shayan Matin
    Background
    This study examines the effects of adopting external and internal focus of attention on learning a static balance skill in children with mild mental retardation.
    Methods
    The participants included 45 children with mild mental retardation in three groups: external focus, internal focus, and control. Motor tasks were used for the static balance, and the time children performed the skills without error was considered as the dependent variable. The students performed the pretest, the acquisition phase (including five 3-minute practice blocks), and posttest. In each exercise block, the children in the external focus group were instructed to focus on a red marker on the ground, while children in the internal focus group focused on their feet.
    Results
    Descriptive findings showed that the age means of the participants in external focus, internal focus, and control groups were 14.29, 14.62, and 13.84 years, respectively. And the means of their BMI were 21.27, 23.52, and 23.51 kg/m2, respectively. The results showed that external focus could improve motor learning. However, there was no significant difference between mean scores of the internal focus and control groups. Furthermore, children in the external focus group reported that they focused more on the external sign (red marker) rather than the internal sign (body part) when performing the skills, while the opposite was true for those in the internal focus group.
    Conclusion
    The results show that children with mental retardation benefited from adopting an external focus of attention to learn a static balance. This finding may indicate that these children have mechanisms such as goal-action coupling, which are needed to learn new motor skills through external focus of attention.
    Keywords: Focus of attention, goal-action, Mental Retardation, Static balance}
  • Amir Dana, Mir Hamid Salehian *, Abdollah Hemayat Talab, Sepideh Sarvari
    Background
    The study compares the learning of static balance skill by observing a point-light display between children with mild mental retardation and healthy children.
    Method
    The subjects are 30 children with mild mental retardation (experimental and control groups) and 30 healthy children (experimental and control groups). The motor task includes a static balance in which the length of time children could perform the skill without error was measured as a dependent variable. Subjects perform the pretest (including one trial), the acquisition phase (including five 3-minute practice blocks), and the post-test (including one trial). The children in the experimental group observed a skilled model performing static balance skills in the form of a point-light display for two minutes before performing each block.
    Result
    The results show that the children with Mental Retardation who had observational practice performed better than their control group in the posttest. The results also showed that healthy children performed better than the children with mental retardation when performing static balance skills. 
    Conclusion
    Children with mild mental retardation can learn motor skills by observing a point-light display. In addition, it was revealed that healthy children perform better than children with mild mental retardation in the motor skills acquired through an observational learning process.
    Keywords: model display, point-light, Mental Retardation, Static balance}
  • Reza Bidaki, Asrin Seyedoshohadayi, Hamed Cheraghali, Fatemeh Zarnegar*

    Certain types of behavior in people with a history of mental disorders and psychosis can engender harm. These behaviors can include rectal and vaginal use of foreign bodies by the patient. A 54-year-old married man from a low socio-economic level finished school just with grade 2 and suffering from mental retardation disorder, inserted a foreign body into the rectum and, after a week, and due to problems such as bleeding and lack of defecation, referred to the hospital and underwent an operation. During the psychiatric consultation, the patient showed to be ashamed of his unusual act. The cause of such behavior could not exactly be identified. Risperidone and Citalopram were prescribed for the patient, and behavior therapy and sex therapy were advised to prevent recurrence.

    Keywords: Foreign Body, Mental Retardation, Rectum}
  • Hosein Ebrahimipour, Salman Shojaei*, Ameneh Esfandyari, Salah Eddin Karimi, Ali Vafaee Najar, Habibollah Esmaily
    Background

    Congenital hypothyroidism is a disease able to cause severe mental retardation and developmental delays. However, timely diagnosis and treatment of infants with this disease could prevent relevant complications. This study aims to investigate the effects of the implementation of the Six Sigma model on reducing the treatment initiation time in infants with congenital hypothyroidism in the population chosen from Samen Health Center in Mashhad.

    Methods

    In this quasi-experimental study, the referral process of infants for congenital hypothyroidism screening and treatment was evaluated for the time period starting from March 20, 2017, to March 19, 2018, using the standard five-phase quality strategy, description, measurement, analysis, improvement and control phase (DMAIC), based on Six Sigma. Data were collected using the sampling form of the national screening program for congenital hypothyroidism. To analyze the data, software including Expert Choice V11, Microsoft Excel 2013, and SPSS 18, were utilized. In addition, a p-value less than 0.05 was considered statistically significant.

    Results

    The number of infants who entered the intervention process was 4,574, of whom 51.3% (2346 infants) were boys. The mean time to start treatment before the implementation of the model was 21.72±7.72 days, which decreased to 17.41±6.47 days after the implementation of the model (p≤ 0.05). Besides, 81.8% of the patients received treatment during infancy before the intervention, which increased to 94.1% after it. After the implementation of the Six Sigma model, the Sigma level of treatment initiation improved from 2.41 to 3.06.

    Conclusion

    Six Sigma could be used as an intervention tool for improving indices of health intervention processes.

    Keywords: Congenital Hypothyroidism, Mental Retardation, Six Sigma, DMAIC, Sigma Level, Analytical Hierarchy Process}
  • علی حسن پور، فروغ سیاه پوش، لیلا محمودنیا، شهریار صالحی*
    پیش‌ زمینه و هدف

    مادریاران در مراکز نگهداری از افراد کم‌توان ذهنی با تنیدگی‌ها و استرس‌های زیادی همراه هستند، که علاوه بر اختلال در ابعاد جسمی، روحی و اجتماعی بر کیفیت مراقبت و وجدان کاری آن‌ها تاثیرگذار است. مطالعه‌ی حاضر باهدف اثربخشی مداخله‌ی آموزشی مبتنی بر الگوی روی، بر وجدان کاری مراقبین افراد مبتلا به کم‌توان ذهنی انجام شده است.

    مواد و روش کار

    این مطالعه‌ی به‌صورت نیمه تجربی تک گروهی بر روی 33 نفر از مراقبین بخش‌های ذهنی تربیت‌پذیر و ایزوله مرکز توان‌بخشی شهید مدنی، در سال 1399 انجام شد. نمونه‌های موردپژوهش به‌صورت هدفمند انتخاب و ابزار جمع‌آوری داده‌ها، پرسشنامه‌ی بررسی و شناخت روی و پرسشنامه‌ی وجدان کاری کاستاومک کرای بوده که قبل از مداخله آموزشی تکمیل گردید، سپس نیازهای آموزشی مراقبین مبتنی بر پرسشنامه بررسی و شناخت روی تعیین شد، به‌منظور رفع نیازهای مطرح‌شده محتوای آموزشی در شش جلسه‌ی دو ساعت و نیم به‌صورت پاورپوینت، سخنرانی و پرسش و پاسخ برگزار شد. بلافاصله بعد از مداخله و سه ماه بعد از پی گیری مجددا پرسشنامه وجدان کاری به‌صورت خود گزارش دهی تکمیل گردید. داده‌های مطالعه با نرم‌افزار spss و آمار توصیفی و تحلیلی مورد ارزیابی قرار گرفت.

    یافته‌ها

    آزمون آنالیز واریانس تکرارشونده بیانگر آن بوده که میانگین نمرات وجدان کاری مراقبین قبل از مداخله، بلافاصله بعد از مداخله و سه ماه پس از پی گیری تفاوت معنی‌دار آماری داشته و این تفاوت با روند افزاینده مواجهه بوده است (001/0>p).

    نتیجه‌گیری

    نتایج نشان داد که ارزیابی نیازهای آموزشی مبتنی بر مدل روی و اقدامات آموزشی و حمایتی مبتنی بر این مدل با ارتقا وجدان کاری مراقبین رسمی افراد کم‌توان ذهنی همراه بوده است.

    کلید واژگان: مراقبین, کم توان ذهنی, الگوی روی, وجدان کاری}
    Ali Hassanpoure, Forogh Seiaposh, Leila Mahmoodnia, Shahriyar Salehi *
    Background & Aim

    Caregivers in care centers for the mentally retarded are associated with a lot of stress and stressors that in addition to physical, mental and social disorders, also affect the quality of care and work conscience of these people. Therefore, the present study was conducted with the aim of the effectiveness of an educational intervention based on Roy model on the work conscience of caregivers (mothers) in people with mental disabilities hospitalized in Shahid Madani Rehabilitation Center in Zarrinshahr, Isfahan. Material &

    Methods

    This quasi-experimental single-group study was performed on 40 caregivers of trainable and isolated mental wards of Shahid Madani Rehabilitation Center in 2016. The samples were purposefully selected and the data collection tool was a zinc survey and cognition questionnaire and a custom consumption questionnaire that was completed before the educational intervention. Then, in order to meet the needs of the educational content in six sessions of two and a half hours in the form of PowerPoint, lectures and questions and answers were held. Also, a three-month follow-up process was performed in relation to the interventions. Immediately after the intervention and three months after the follow-up, the work conscience questionnaire was completed again. Study data were evaluated using SPSS software and descriptive and analytical statistics.

    Results

    Analysis of variance repeated measures showed that the mean scores of caregivers' work conscience before the intervention, immediately after the intervention, and three months after follow-up was statistically significant and this difference was an increasing trend (p <0.001).

    Conclusion

    The results showed that the assessment of educational needs based on the Roy model and educational-supportive based on this model have been associated with improving the work conscience of formal caregivers of mentally retarded people.

    Keywords: Caregivers, Mental retardation, Roy model, Work Conscience}
  • مریم فراهانی، رحیم حمیدی پور*، حسن حیدری
    زمینه و هدف

    تحقیقات نشان داده است که از جمله متغیرهایی که مادر کودک ناتوان ذهنی می تواند با آن درگیر باشد، مدیریت و تنظیم هیجان است؛ بنابراین هدف از پژوهش حاضر بررسی اثربخشی درمان راه حل محور بومی بر خودکارآمدی و نظمجویی هیجانی مادران دارای فرزند کم توان بود.

    روش کار

    روش تحقیق نیمه آزمایشی و طرح تحقیق پیش آزمون - پس آزمون با گروه کنترل نابرابر استفاده شد،. جامعه آماری این پژوهش شامل کلیه مادران دارای فرزند کم توان ذهنی مراجعه کننده به واحد توانبخشی بهزیستی شهر اراک در سه ماه اول سال 1398 بود. نمونه تحقیق شامل 40  نفر (20 گروه کنترل و 20 نفر آزمایش) بودند که به صورت نمونه گیری دردسترس و داوطلبانه انتخاب شدند. برای جمع آوری اطلاعات از پرسش نامه تنظیم هیجان گارنفسکی و خودکارآمدی شرر استفاده شد. پس از اجرای پیش آزمون، مداخله (راه حل محوری دی شازر) به گروه آزمایش ارایه گردید. پس از پایان برنامه مداخله ای، از هر دو گروه پس آزمون گرفته شد. برای تحلیل داده ها از روش تحلیل کواریانس  استفاده شد.

    یافته ها: 

     نتایج نشان داد که مداخله راه حل محور بر خودکارآمدی و نظمجویی هیجانی مادران دارای فرزند کم توان ذهنی شهر اراک اثربخش بوده است (05/0>p).

    نتیجه گیری: 

    به نظر می رسد که درمان راه حل محور بومی بر خودکارآمدی و نظمجویی هیجانی مادران دارای فرزند کم توان ذهنی اثر گذار است؛ ینابراین جهت بالا بردن اعتبار بیرونی تحقیق در جوامع دیگر و با تعداد نمونه بیشتر مورد بررسی قرار گیرد.

    کلید واژگان: راه حل محوری, خودکارآمدی, نظم جویی هیجانی, مادران, کم توان ذهنی}
    Maryam Farahani, Rahim Hamidipour*, Hassan Heidari
    Background & Aims

    Research has shown that one of the variables that the mother of a mentally retarded child may be involved with is emotion management and regulation. Mental retardation is one of the biggest, most complex and difficult issues and problems of children and adolescents in todaychr('39')s human societies. Mental retardation is a heterogeneous and lifelong disorder that is mostly associated with specific problems related to brain or sensory function and includes genetic disorders that affect cognition and behavior (1). Mothers are more affected by the processes that the presence of a disabled child in the family system than fathers due to more involvement and companionship with their children (2). The results showed that there is a significant difference between the mental disorders of mothers of mentally retarded children with learning and late learning (3) and the quality of life (4) of mothers of mentally retarded children with mothers of healthy and normal children. Picat and Dolan (5) also suggest that short-term, short-term treatment is an appropriate intervention for adolescents and adults in many areas. In addition, Adigozel and Goktiork (6) consider the use of solution-oriented perspective as a more effective way to solve psychological problems; so the aim of this study was to evaluate the effectiveness of native solution therapy on self-efficacy and emotional regulation of mothers with mentally retarded children.

    Methods

    The present study was a quasi-experimental study with a pretest-posttest design with unequal control and experimental groups. Sample of this stage of research among mothers with mentally retarded children in Arak in the first quarter of 1398 who had referred to Arak Welfare who were available by voluntary sampling method Sampling was selected. For this purpose, after informing the mentioned community and informing them of the research objectives, the applicants were registered. After enrollment, 40 eligible mothers were randomly replaced in the experimental and control groups (20 in the experimental group, 20 in the control group) using the "individual assignment to group" method. Inclusion criteria include 1- one of their first-degree relatives is mentally retarded, 2- the minimum age of the participant is 18 years, 3- the maximum age of the participant is 55 years, 4- at least 5 years with a minor has mental ability in direct contact, 5- has no extreme love or hatred for the person with mental disabilities, 6- has no mental or physical illnesses such as paranoid that affect their narratives, 7- Be willing to cooperate and participate in the interview session and 8- Other members of their family are also willing to cooperate and participate in the interview. Exclusion criteria include 1- Whenever it is determined for the researcher that the participant does not meet the conditions to enter the research and has entered the research illegally, 2- If they do not attend the interview, 3- Other families Do not participate in the research and 4- refrain from providing information in the interview session. Protocol therapy was developed based on the De Shazer-based solution therapy method, ie strengthening strengths, defining and praising clients, examining exceptions, using the special question "somewhere", scaling questions, and miracle questions. 90 minutes per week were performed for the experimental group.

    Results

    The results showed that There is a significant difference between the experimental and control groups in at least one of the dependent variables. To find out the difference, univariate analysis of covariance (ANCOVA) test was used. Also, there is a significant difference between the research groups in the variables of emotional regulation and self-efficacy and the value of the significant level obtained is less than the alpha value in both variables (α = 0.05), thus with 95% probability of solution treatment. Axial, affects emotional regulation. Also, the observed effect coefficient is equal to 0.229 for the emotional regulation variable and 0.470 for the self-efficacy variable. There is a significant difference between the control and experimental groups in the post-test stage of the variables of emotional regulation and self-efficacy and the value of the significant level obtained is less than the alpha value (α = 0.05), thus with a 95% probability between the two experimental groups. And control There is a difference in the post-test of the emotional regulation variable.

    Conclusion

    According to the results, after adjusting the pre-test scores, the difference in post-test scores between the experimental and control groups is significant for the self-efficacy variable. In other words, solution-oriented treatment, considering the mean of self-efficacy in the pre-test stage compared to the mean of self-efficacy of the control group, caused a significant increase in the self-efficacy of mothers with mentally retarded children in the experimental group. The effect or difference showed that the differences in the self-efficacy post-test scores were related to the effect of the solution-oriented treatment and this treatment caused the mean of the self-efficacy post-test scores to be higher in the experimental group than the control group. As a result, the increase in the mean scores of the experimental group compared to the control group in the post-self-efficacy test is due to receiving the solution-oriented treatment intervention in the experimental group. The result of this hypothesis is in line with the research of Zareinejad et al. (7), Moghaddamnia et al. (8), Fitzgerald et al. (9), Lloyd et al. (10) and Baldwin et al. (11). One of the techniques of solution-oriented treatment is problem normalization. This is a technique that assures the client that his problem is not unique. The therapist helps her to know that she is not the only one experiencing this problem, others have experienced this problem and there is hope for finding a solution to this problem. Finding exceptions to the problem as part of treatment allows clients to shift their focus from the problem to a time when there was no problem. The therapist asks the client to look for times when the problem was not in his life and how he did it. The exception question reminds the authorities that the authorities would have been difficult without it  (12).Therefore, it can be said that using the solution-oriented therapy technique, in which a person sets positive and negative goals, one can learn to evaluate the situation by relating to the environment and surroundings, and regulate emotion as a positive goal. Consider and choose low excitement as a negative goal; Therefore, solution-oriented therapy can be effective in regulating the emotions of mothers with mentally retarded children. In general, it can be said that the native solution-oriented intervention has an effect on self-efficacy and emotional regulation of mothers with mentally retarded children and it is recommended to use this intervention in different medical centers. It is also suggested that in similar cases it be placed in a relaxation plant to increase the external credibility of the research.It seems that the treatment of indigenous solution-based solutions has an effect on self-efficacy and emotional regulation of mothers with disabled children, so to increase the external validity of the research in other communities and with alarger number of samples should be examined. In general, it can be said that the native solution-oriented intervention has an effect on self-efficacy and emotional regulation of mothers with mentally retarded children and it is recommended to use this intervention in different medical centers. It is also suggested that in similar cases be placed in the resting plant to increase the validity of the outer larvae of the research.

    Keywords: Solution Therapy, Self-Efficacy, Emotional Regulation, Mothers, Mental Retardation}
  • بهاره رضایی*، محمد رضایی
    سابقه و هدف

    کودکان کم توان ذهنی دچار تاخیر کلی هستند که روی رشد حرکتی، شناختی، ارتباطی، گفتار و زبان آنها تاثیر می گذارد. کاهش در تعداد واژگان و سازمان دهی ضعیف واژگان ذهنی از جمله پیامدهای بارز کم توان ذهنی است. هدف از این مطالعه بررسی توانایی درک و بیان اسامی و پایایی آزمون- بازآزمون دو آزمون تصویری درک و بیان اسامی، روی کودکان کم توان ذهنی آموزش پذیر فارسی زبان شهر همدان بود.

    مواد و روش ها

     در این مطالعه توصیفی تحلیلی از نوع مقطعی، 40 کودک کم توان ذهنی آموزش پذیر با میانگین سنی  25/1± 9/7 سال (22 پسر و 18 دختر) به عنوان نمونه های مورد بررسی از آموزشگاه استثنایی شهر همدان انتخاب شدند. جهت بررسی توانایی درک و بیان اسامی از دو آزمون تصویری درک و بیان اسامی استفاده گردید و به منظور بررسی پایایی آزمون- بازآزمون نیز، 10 کودک طی دو نوبت، با فاصله زمانی یک روز، مورد آزمون قرار گرفتند.

    یافته ها

    بین امتیازات درک و بیان اسامی، رابطه مستقیم و مثبتی وجود داشت (662/0=r و 001/0>P). مقایسه میانگین امتیازات درک و بیان اسامی در دو جنس حاکی از آن بود که این تفاوت ها معنی دار نیستند. بررسی پایایی آزمون- بازآزمون هم حاکی از این بود که این دو آزمون پایایی مطلوبی دارند.

    نتیجه گیری

     شاخص های آماری حاصل در کودکان کم توان ذهنی مورد مطالعه، همراه با شاخص های مشابه به دست آمده از شهرهای دیگر، بخشی از داده های هنجار برای این دو آزمون را فراهم ساخته است. یافته های به دست آمده و نیز تایید پایایی آزمون ها، نشان دهنده کارایی این دو آزمون در موقعیت های پژوهشی و بالینی است.

    کلید واژگان: بیان اسامی, پایایی, درک اسامی, کم توان ذهنی}
    Bahareh Rezaei*, Mohammad Rezaei
    Background and Objective

    Mentally retarded children delayed in global that affects motor, cognitive, communication, speech and language development. Poor organization in mental lexicon and reduction in vocabulary are the obvious consequences of mental retardation. The main objective of this study was to evaluate perception and expression of nouns, and test-retest reliability of two picture-pointing and picture-naming tests, in Farsi-speaking in educable mentally retarded children in Hamadan city.

    Materials and Methods

    It was a descriptive-analytic and cross-sectional study. 40 mentally retarded children (18 females, 22 males) were selected from exceptional children’s school of Hamadan. Two picture-pointing and picture-naming tests were used in this study. For the sake of test-retest reliability, 10 evaluated two times with one day time interval.

    Results

    There was a significant positive correlation between mean scores of perception and expression (P=0.001, r=0.662). Mean scores of girls and boys was not statistically different. Findings about test-retest reliability show that, these two tests have optimal reliability.

    Conclusions

    Descriptive statistics of the mentally retarded children can be part of normative data alongside other findings of other cities of Iran. In addition, confirmation of reliability shows part of the efficiency of these two tests in research and clinical settings.

    Keywords: Mental Retardation, Noun Expression, Noun Perception, Reliability}
  • Ali Nikfar*, Mojdeh Mansouri, Gita Fatemi Abhari

    Down syndrome or trisomy 21 is the most common genetic disorder with a prevalence
    of 1 in 700 live born infants. It is characterized by intellectual disability of varying range, developmental delay, distinctive facial features and various physical abnormalities. The most frequent clinical features include hypotonia, short stature, short neck, upward slanting eyes, flat nasal bridge, bulging tongue, small ears and a single palmar crease of the hands. Mainly there are three cytogenetic forms of Down syndrome including free trisomy 21, mosaicism and Robertsonian translocation. We describe the case of a 1-year-old Iranian female child who presented to our genetic counseling center with intellectual and physical disabilities. The most common features of Down syndrome were present. Cytogenetic analysis confirmed the diagnosis, with detection of the Robertsonian translocation t(21q; 21q). The patient's parents were found to be both phenotypically and cytogenetically normal, so the identified Robertsonian translocation t(21q; 21q) probably have arisen de novo.

    Keywords: Down syndrome, Intellectual disability, Mental retardation, Robertsonian translocation, Denovo, t(21q, 21q)}
  • Forouzan Elyasi*, Arghavan Fariborzifar, Zahra Kashi
    Introduction

    Lujan-Fryns syndrome (LFS) is an X-linked disorder characterized by varying degrees of symptoms, including mental retardation, Marfanoid habitus, facial deformities, hyper nasal speech, and psychopathology and related behavioral abnormalities. The prevalence and full spectrum of LFS’s clinical symptoms remain unknown, but the disease is reportedly caused by at least one mutation in the mediator complex subunit 12 (MED12) gene.

    Case Presentation

    This study reports the case of an 18-year-old male with moderate mental disability, a height exceeding the 97th percentile, marfanoid characteristics, obvious craniofacial appearance, and psychiatric and behavioral disorders. Adults with LFS are usually tall, but their heights still fall within the normal range.

    Conclusions

    The higher-than-normal mean height of the young man and psychosis led us to conclude that patients with LFS may be those taller than the normal range. The results provided insights into clinical and therapeutic remedies and highlighted the need to carefully examine the psychological and neuropsychological symptoms of LFS.

    Keywords: Lujan-Frynz Syndrome, Genetic, Mental Retardation, Psychosis}
  • سیداحمد میرخلیلی، نصرالله جعفری خسروآبادی*، زینب زارع

    از آنجایی که در فقه و حقوق ایران، افراد مبتلا به عقب ماندگی ذهنی صراحتا جزء سه دسته محجورین (صغار، سفها و مجانین) ذکر نشده اند، ضروری است که جایگاه و وضعیت حقوقی آنان بررسی شود. هدف از تحقیق پیش رو تلاشی جدی و گامی نو در جهت پرکردن خلا علمی و قانونی در این زمینه و رفع ابهامات و تردیدها و خلاهای قانونی و رویه قضایی می باشد. با مراجعه به منابع کتابخانه ای، نرم افزارهای تخصصی، مراکز روان پزشکی، دادگاه ها و بیمارستان اعصاب و روان، بررسی آثار و علائم انواع عقب ماندگی ذهنی از منظر روان پزشکی، همچنین بررسی علت حجر محجورین ذکرشده در فقه و قانون مدنی، مشخص شد که عقب ماندگی ذهنی ضعیف به علت ضعف اراده و عدم تمرکز بر امور در خصوص موضوعات مختلف با سفاهت بیان شده در دیدگاه فقها و حقوقدانان وجه اشتراک بیشتری دارد و از جمله مصادیق سفاهت به شمار می روند. در عین حال ضعف اراده عقب ماندگان ذهنی متوسط محدود به امور مالی نیست و در امور غیر مالی هم از رشد کافی برخوردار نیستند و حجر گسترده تری نسبت به سفیه دارند، لذا باید در قالب نوع خاصی از محجورین موردحمایت قرار گیرند. در واقع این افراد هم ردیف صغیر هستند. عقب ماندگان ذهنی شدید نیز اگرچه عرفا مجنون نامیده نمی شوند، ولیکن با توجه به فقدان قصد و اراده دائمی ایشان، بر اساس اصول و ضوابط حقوقی هم ردیف مجانین می باشند.

    کلید واژگان: حجر, سفاهت, جنون, عقب ماندگی ذهنی, صغیر ممیز}
    Ahmad Mirkhalili, Nasrolah Jafari Khosroabadi*, Zeynab Zare

    Since in Iranian jurisprudence and law, the mentally retarded people have not been clearly included among the ward (minor, incompetents and lunatics), their position and legal status are required to be studied. The current research aims at filling the existing gap in this field and eradication of ambiguities and doubts as well as legal and judiciary gaps through a serious effort. Having referred to the library sources, professional software, psychiatric centers, courts and psychiatric hospitals, the effects and symptoms of various types of mental retardation have been studied from the perspective of psychiatry as well as the cause of the need of the ward for legal guardian as mentioned in jurisprudence and civil law, it became clear that weak mental retardation due to the weak will and lack of concentration on affairs regarding various issues has more commonalities with lunacy from the point of view of jurists and legal experts and represents one of the extensions of lunacy. Meanwhile, weakness of will in the mediocre mentally retarded people is not restricted to financial issues and they do not have sufficient growth in nonfinancial issues either and they require more protection as compared to the lunatics. Thus, they need to be protected in the form of a specific type of ward. In fact, these individuals are at the same level with discerning minor. The severe mentally retarded people though are not called lunatic in the public should be legally protected like the lunatics due to their lack of intention and will based on the legal principles and regulations.

    Keywords: Ward, Lunacy, Mania, Mental Retardation, Discerning Minor}
  • فاطمه کشاورزی*
    پیش زمینه و هدف
    بررسی کاریوتیپ در موارد متعددی به عنوان اولین گام در تشخیص اختلالات ژنتیکی می باشد. هدف از تحقیق حاضر بررسی کاریوتیپ تعدادی از افراد با موارد متعددی از احتمال یک اختلال ژنتیکی است.
    مواد و روش ها
    مطالعه حاضر از نوع توصیفی - مقطعی می باشد. پس از اخذ مجوزهای لازم و رضایت نامه ی کتبی از والدین افراد مبتلا به عقب ماندگی ذهنی و خود افراد با مشکلات ناباروری و مبتلا به سرطان، نمونه گیری به عمل آمد. از دویست فرد با سابقه سقط مکرر و ناباروری شامل 124 زن و 76 مرد،40 فرد مبتلا به انواع سرطان ها به همراه 180 فرد مبتلا به عقب ماندگی ذهنی، نمونه خون اخذ شد و سپس به روش سیتوژنتیک کاریوتیپ این افراد تعیین شد.
    یافته ها
    از 180 نفر مبتلا به عقب ماندگی ذهنی (6/6درصد)12 نفر ناقل یک اختلال کروموزومی (8 نفر اختلال ساختاری و 4 نفر سندرم x شکننده) و (4/92درصد)172 نفر دارای کاریوتیپ سالم بودند. همچنین از 200 فرد مبتلا به اختلال ناباروری و سقط جنین 138(69درصد) نفر کاریوتیپ سالم و 62 (31درصد) نفر دارای یکی از نقایص کروموزومی بودند. در میان 40 بیمار مبتلا به سرطان تنها در 2 مورد (0.8درصد) جابجایی کروموزومی مشاهده شد.
    نتیجه گیری
    73 تغییر کروموزومی (62 در ناباروری، 8 در عقب ماندگی ذهنی، 2 در سرطان و 1 اختلال ساختاری شکنندگی X) در کاریوتیپ 420 نفر مشاهده شد. این نتیجه لزوم انجام کاریوتایپ را با بیشترین اهمیت در مشکلات ناباروری و سقط جنین نشان می دهد در ارتباط با عقب ماندگی ذهنی و سرطان لزوم تحقیقات بیشتر است.
    کلید واژگان: سقط جنین, ناباروری, کاریوتیپ, سرطان, عقب ماندگی ذهنی}
    Fatemeh Keshavarzi*
    Background & Aims
    The study of karyotype in several cases is the first step in the diagnosis of genetic disorders. The purpose of this study was to investigate the karyotype of a number of individuals with a range of possible genetic disorders.
    Materials & Methods
    This researchis a descriptive cross-sectional study. Sampling was done after obtaining necessary permissions and written consent from the parents of mentally retarded individuals and individuals with infertility and cancer problems. Blood samples were taken from 200 individuals with a history of recurrent abortions and infertility, including 124 women and 76 men, 40 patients with different types of cancers, and 180 mentally retarded subjects, and then they were determined by cytogenetic karyotype.
    Results
    Out of 180 mentally retarded subjects, 12 (6.6%) had a chromosomal abnormality (8 structural chromosomal abnormalities and four men with fragile X syndrome) and 172(92.4%) subjects had normal karyotypes. Also, of 200 subjects with infertility and abortion, 138 (69%) had healthy karyotype and 62 (31%) had one chromosomal defect. Among 40 patients with cancer, only 2 (0.8%) chromosomal changes were observed.
    Conclusion
    Seventy-three chromosomal changes (62 in infertility, 8 in mental retardation, 2 in cancer and 1 in structural disorder of fragility X) were shown in Karyotype of 420 cases. The findings imply the necessity of performing karyotype in infertility and abortion problems. Further research is needed on mental retardation and cancer.
    Keywords: Abortion, Infertility, karyotype, Cancer, Mental Retardation}
  • یدالله قاسمی پور*، بهناز روشن
    زمینه و هدف
    وجود کودک کم توان ذهنی در یک خانواده، سلامت روانی اعضای آن را به خطر می اندازد، با این وجود متغیرهای دیگری نیز در تبیین وضعیت روان شناختی والدین این کودکان نقش ایفا می کنند. هدف پژوهش حاضر، بررسی رابطه ذهن آگاهی و حمایت اجتماعی با سلامت روانی مادران دارای کودک کم توان ذهنی بود.
    روش
    تعداد 92 نفر از مادران دارای حداقل یک فرزند کم توان ذهنی آموزش پذیر در دامنه سنی 6 تا 14 سال به عنوان نمونه مورد مطالعه انتخاب شدند. روش نمونه گیری به صورت در دسترس بود. آزمودنی ها به پرسشنامه ای متشکل از مقیاس های ذهن آگاهی (براون و ریان، 2003)، مقیاس چند بعدی حمایت اجتماعی ادراک شده (زیمت، دهلم، زیمت و فارلی، 1998)، افسردگی، اضطراب و تنیدگی (لاویبوند و لاویبوند، 1995) پاسخ دادند. داده ها با استفاده از آزمون همبستگی پیرسون و رگرسیون چندمتغیری مورد تجزیه و تحلیل قرار گرفت.
    یافته ها
    نتایج نشان داد ذهن آگاهی با ابعاد افسردگی، اضطراب، و تنیدگی، رابطه معنی دار و معکوسی دارد (0/01P<)؛ یعنی میزان بالای ذهن آگاهی با سطح پایین افسردگی، اضطراب، و تنیدگی، همراه است. اما بین حمایت اجتماعی و سلامت روان، رابطه معنی داری به دست نیامد. نتایج همچنین نشان داد که ذهن آگاهی توانست به صورت معنی داری افسردگی (بتا= 0/50) و اضطراب (بتا= 0/46) مادران را پیش بینی کند (0/001P<)، اما تنیدگی مادران توسط هیچ کدام از متغیرهای ذهن آگاهی و حمایت اجتماعی، پیش بینی نشد.
    نتیجه گیری
    از آنجا که نگهداری از کودک کم توان ذهنی، تنیدگی، اضطراب، و افسردگی مادران را افزایش می دهد، بنابراین لزوم طراحی مداخلات روان شناختی مبتنی بر افزایش ذهن آگاهی، ضروری است.
    کلید واژگان: ذهن آگاهی, حمایت اجتماعی, سلامت روان, کم توانی ذهنی}
    Yadollah Ghasemipour*, Behnaz Roshanbehnaaz
    Background and Purpose
    The existence of a mentally retarded child in a family compromises the mental health of its members, however, other variables play a role in explaining the psychological status of the parents of these children. The purpose of this study was to investigate the relationship between mental health and social support and mental health of mothers with a mentally retarded child.
    Method
    A total of 92 mothers with at least one mentally retarded child aged 6 to 14 years were selected as the sample. The data were collected through a mindful attention awareness scale (Brown and Ryan, 2003), multidimentional scale of percieved social support  (Zimet, Dahlem, Zimet, & Farley,1998), depression, anxiety and stress scale (Lovibond & Lovibond, 1995). Data were analyzed using Pearson correlation test and multivariate regression.
    Results
    The results showed that there is a significant negative relationship between the depression, anxiety and stress scores (p< 0.01). But there was no significant relationship between mothers’ mental health and social support. The results also showed that the mindfulness could significantly predict depression (β = 0.50) and anxiety (β = 0.46) of mothers (P <0.001), but maternal stress were not predicted by any of the variables of mindfulness and social support.
    Conclusion
    The significant relationships between mindfulness and mental health of mothers with mentally retarded child, highlights the necessity of psychological interventions based on mindfulness.
    Keywords: Minfulness, social support, mental health, mental retardation}
  • زینب سادات توکلی، فرنگیس دمهری*، مهدیه عزیزی
    زمینه و هدف

    کاستی های موجود در کفایت اجتماعی و مهارت خویشتن داری در کودکان سندروم داون موجب شده تا آن ها از رفتارهای مناسب در موقعیت های اجتماعی آگاهی کافی نداشته باشند و در تعامل های بین فردی دچار مشکل شوند. پژوهش حاضر، با هدف بررسی اثربخشی آموزش نظریه ذهن بر کفایت اجتماعی و خویشتن داری در کودکان سندروم داون دوره های اول و دوم ابتدایی شهر یزد، در سال تحصیلی 97-1396 انجام شد. 

    روش بررسی

    پژوهش حاضر نیمه آزمایشی با طرح پیش آزمون پس آزمون با گروه گواه بود. جامعه آماری را تمامی کودکان سندروم داون شهر یزد تشکیل دادند که 24 کودک مبتلا به این سندروم، به روش نمونه گیری دردسترس انتخاب شده و به صورت تصادفی در دو گروه 12نفره آزمایش و گواه قرار گرفتند. با استفاده از آزمون های کفایت اجتماعی (پرندین، 1385) و خرده مقیاس خویشتن داری پرسشنامه مهارت اجتماعی (گرشام و الیوت، 1990) هر دو گروه در دو موقعیت پیش آزمون و پس آزمون سنجیده شدند. در گروه آزمایش 12 جلسه آموزش نظریه ذهن صورت گرفت. داده ها در سطح آمار توصیفی (میانگین و انحراف معیار) و آمار استنباطی (تحلیل کوواریانس) توسط نرم افزار SPSS نسخه 21 تجزیه وتحلیل شدند. 

    یافته ها

    نتایج نشان داد آموزش نظریه ذهن بر کفایت اجتماعی (0٫001>p)  و خویشتن داری (0٫001>p)  کودکان گروه آزمایش تاثیر معنا دار داشته است. 

    نتیجه گیری

    باتوجه به نتایج حاصل، آموزش نظریه ذهن باعث بهبود کفایت اجتماعی و خویشتن داری در کودکان سندروم داون می شود.

    کلید واژگان: نظریه ذهن, سندروم داون, کم توان ذهنی, کفایت اجتماعی, خویشتن داری}
    Zeinab Sadat Tavakoli, Farangis Demehri*, Mahiye Azizi
    Background & Objective

    The deficiencies in social adequacy and self–esteem skills in Down's syndrome children have prevented them from having adequate behaviors in social situations and lacking interpersonal interactions. The purpose of this study was to investigate the effectiveness of teaching the theory of mind on the social adequacy and self–sufficiency of Down syndrome in the first and second elementary schools of Yazd in the academic year 2017–2018.

    Methods

    This is a semi–experimental design with pretest–posttest design with control group. The statistical population of all children was Down syndrome in Yazd city, in which 24 children with Down syndrome were selected by available sampling method and randomly divided into two experimental and control groups (each group was 12). The social skills questionnaire (Gersham and Elliott, 1990), using social competency tests (Prandin, 2006) and the subscale of self–restraint of social skills questionnaire (Gersham and Elliott, 1990), were assessed in both pretest and posttest. Twelve sessions of mind theory training were conducted for the experimental group. Data were analyzed using descriptive statistics (mean, standard deviation) and inferential (covariance analysis) by SPSS21 software.

    Results

    The results showed that training of mind theory had a significant effect on social adequacy (p<0.001) and restraint (p<0.001) in children of experimental group.

    Conclusion

    According to the results, teaching the theory of mind improves the social adequacy and self–control of children with Down syndrome.

    Keywords: Mind Theory, Down Syndrome, Mental Retardation, Social Adequacy, Restraint}
  • زهره آذرکار، آرزو حق دوست، غلامرضا شریف زاده، نگین پارسامنش*
    زمینه و هدف
    هپاتیت E، نوعی بیماری ویروسی منتقله از طریق آب آلوده است که بیشتر به صورت اپیدمی رخ می دهد. عقب ماندگان ذهنی جزء گروهای پرخطر با ریسک بالای ابتلا به این عفونت می باشند؛ بنابراین مطالعه حاضر با هدف بررسی سرواپیدمیولوژی هپاتیت E در عقب ماندگان ذهنی، طراحی و اجرا گردید. روش تحقیق: این مطالعه توصیفی- تحلیلی از نوع مقطعی، بر روی 300نفر از مددجویان تحت پوشش بیرجند به صورت سرشماری انتخاب شدند. در این بررسی، از کیت Anti –HEV-IgG شرکت Diapro استفاده شد. داده ها پس از جمع آوری در نرم افزار SPSS (ویرایش 19) وارد و ضمن ارائه آمار توصیفی، به وسیله آزمون های آماری کای اسکوئر و من ویتنی در سطح 05/0: α تجزیه و تحلیل شد.
    یافته ها
    از 300 فرد انتخاب شده، در مجموع 267نفر شامل: 180نفر (5/67%) جنس مذکر و 87نفر (5/32%) جنس مونث، وارد مطالعه شدند که 62نفر (1/23%) هپاتیت E مثبت و 205نفر (5/76%) هپاتیت E منفی بودند. بین سرولوژی مثبت با جنس افراد، ارتباط آماری وجود نداشت؛ اما بین سن افراد و سن ورود به مرکز با سرولوژی هپاتیت E، ارتباط آماری معنی دار وجود داشت (0/001P=). همچنین ارتباط بین سرولوژی هپاتیت E با مدت زمان اقامت در مرکز، معنی دار نبود (0/27P=).
    نتیجه گیری
    شیوع بالای هپاتیت E در افراد عقب مانده ذهنی، نگران کننده بوده و بر پیگیری راهکارهای مناسب غربالگری و بهداشتی، تاکید می نماید.
    کلید واژگان: هپاتیت E, عقب مانده ذهنی, اپیدمیولوژی}
    Zohreh Azarkar, Arezou Haghdoust, Gholamreza Sharifzadeh, Negin Parsamanesh*
    Background and Aim
    Hepatitis E is a viral disease transmitted through contaminated water, which is most commonly reported as an epidemic. Mental retardation among high-risk groups are at high risk of infection, Therefore, the present study was designed and conducted to evaluate the seroepidemiology of hepatitis E in mentally retarded individuals.
    Materials and Methods
    This cross-sectional descriptive-analytic study was performed on 300 clients in Birjand and they were selected by the census. The Diapro Anti-Hev-IgG kit was used in this study. Data were collected by SPSS software (revision 19) and descriptive statistics were analyzed by Chi-square and Mann-Whitney tests at the level of α: 0.05.
    Results
    Of the 300 individuals selected, a total of 267 subjects were included: 180 (67.5%) male and 87 (32.5%) female were included in the study, 62 of which (23.1%) had E-positive hepatitis and 205 (76.5%) had E-negative hepatitis. The results of the study showed that there was no significant relationship between sex and positive serology of hepatitis E, but there was a direct correlation between age and age of entering the center with positive hepatitis E serology(P=0/001). Also, the relationship between hepatitis E serology and duration of stay in the center was not significant (P = 0/27).
    Conclusion
    The high prevalence of hepatitis E in mentally retarded individuals is alarming and emphasizes the need for appropriate screening and hygiene strategies.
    Keywords: Hepatitis E, Mental Retardation, Epidemiology}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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